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1982202974
BENJAMIN HENDRICKSON
JOHNSON CITY, TN
NPI
1982202974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN 0000003350)
Enumeration Date
2020-10-13
Last Update Date
2020-10-19
Business Address
BENJAMIN HENDRICKSON
140 TECHNOLOGY LN
JOHNSON CITY, TN 37604-2004
Phone number: 423-434-2016
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Mailing Address
BENJAMIN HENDRICKSON
9096 MOUNTAIN RD
LEBANON, VA 24266-6678
Phone number:
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